Associations of Family Functioning and Social Support With Psychopathology in Children of Mentally Ill Parents: Multilevel Analyses From Different Rating Perspectives

Sell, Marlit; Barkmann, Claus; Adema, Bonnie; Daubmann, Anne; Kilian, Reinhold; Stiawa, Maja; Busmann, Mareike; Winter, Sibylle; Lambert, Martin; Wegscheider, Karl; Wiegand-Grefe, Silke

doi:10.3389/fpsyg.2021.705400

Cited by 11 publications

(9 citation statements)

References 66 publications

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“…Some literature points out that the role of social support in promoting well-being among youth transitioning to adulthood may be even more significant for youth considered more vulnerable during the transition to adulthood, including those from disadvantaged backgrounds or vulnerable families ( 29 , 41 ), as is the case with youth that have a parent with a mental illness ( 8 ). This idea is in line with results of studies highlighting the buffer effect of social support against the negative effects of parental mental illness on child and adolescent mental health ( 42 – 44 ) and, more broadly, in line with the stress-buffer model , which suggests that the positive effect of social support should be greater in a context of adversity or significant stress ( 45 ).…”

Section: Introductionsupporting

confidence: 83%

Perceived Support and Sense of Social Belonging in Young Adults Who Have a Parent With a Mental Illness

2022

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This participatory action research explores the perceived social support of youth whose parents have a mental illness during their transition to adulthood. Social support is an important protection factor during this developmental period, but few studies have explored how these young adults perceive their social support. Nor has any study assessed whether participation in a group-based participatory action research project could improve these youth's sense of support.Purpose: (1) identify which aspects of social support these youth spontaneously address when talking about their experiences in Photovoice workshops; (2) explore how participants view these types of workshops as a good way to improve their sense of social support and belonging.Methodology: Ten young adults (nine women and one man) between the ages of 18 and 25 who have at least one parent with a mental illness participated in Photovoice meetings in 2019. These group meetings aimed to explore and share their experiences as young adults whose parents have a mental illness. The testimonies were combined with data obtained from the abbreviated version of the Social Provisions Scale and the Scale of Social Belonging.Results: The quantitative results suggest that participants consider their social support levels to be high, but their qualitative statements highlight low level or absence of parental support in terms of emotional, informative or instrumental levels. They see themselves as an important source of support for their parent and discuss the importance of having other supports figures (romantic partner, employer, friends, sibling, etc.). Conversely, they have difficulty asking for help for various reasons (including fear of stigma). They consider that their participation in this Photovoice project allowed them to feel heard, supported and to develop a sense of belonging to a group.Discussion: To conclude, clinical issues to be considered for psychosocial intervention with young adults of parents with a mental illness are discussed.

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Section: Introductionsupporting

confidence: 83%

Perceived Support and Sense of Social Belonging in Young Adults Who Have a Parent With a Mental Illness

2022

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“…This and other possible influencing factors, such as socioeconomic status (Otto et al, 2017) were not taken into account in this study. Lastly, it would be interesting to examine family functioning described by the parents and via clinician rating (Sell et al, 2021a) and assess symptom severity with external ratings from trained professionals (Wiegand-Grefe et al, 2011).…”

Section: Discussionmentioning

confidence: 99%

Associations of Symptom Severity of Mentally Ill Parents on Family Functioning and Children’s Mental Health

Elbracht¹,

Busmann²,

Adema³

et al. 2023

PSYCH

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Background: Parental mental illness has a negative impact on children's mental health. Often, the entire family structure suffers from the consequences of parental illness. Purpose: For future interventions, it is important to examine the impact of specific factors such as parental symptom severity on children's mental health and family functioning. Method: The sample of this study included N = 203 parents with mental illness with a total of N = 309 children. Parents completed questionnaires on symptom severity. Children's mental health symptoms were rated by parents and children and family functioning was assessed from the children's perspective. Results: Mixed linear models showed a significant impact of parental symptom severity on children's mental health from both parents' and children's perspectives. No significant impact of symptom severity on perceived family functioning from the children's perspective was found. Conclusion: Results underline the importance of personalized interventions in terms of parental symptom severity to minimize negative outcomes for children and the whole family.

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“…Information supplied by parents is typically highly accurate 20 . However, parent assessments of child behaviour may be influenced by the parent's own stress or experiences 21,22 …”

Section: Commentmentioning

confidence: 99%

“…20 However, parent assessments of child behaviour may be influenced by the parent's own stress or experiences. 21,22…”

Section: Limitations Of the Datamentioning

confidence: 99%

Parent report of child behaviour: Findings from the Flint Registry cohort

Jones¹,

Dannis

O’Connell³

et al. 2022

Paediatric Perinatal Epid

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Background: Children in Flint, Michigan, have multiple risk factors for behavioural challenges, including exposure to lead during the Flint water crisis. However, their behavioural health status is largely unknown. Robust data from the Flint Registry can help understand the burden of behavioural outcomes and inform the allocation of resources. Objectives: This population-level evaluation of Flint children's behavioural outcomes aims to answer the question: What is the burden of parent-reported child behaviour problems in Flint Registry enrolled children? Methods: This cross-sectional study describes parent-reported behavioural outcomes of children 2-17 years old who enrolled in the Flint Registry between December 2018 and December 2020. Parents/guardians completed behavioural assessments including the Behavior Assessment System for Children (BASC-3) Parent Rating Scale and Behavior Rating Inventory of Executive Function (BRIEF2) Screening Parent Form. Demographics of enrolees were compared with census data. Composite BASC-3 T scores were compared with national norms. Distributions for clinically relevant categories of BASC-3 and BRIEF2 scores were examined across age and sex groups.Results: Of the 3579 children included in this study (mean age 9.73 ± 3.96 years), about half were female and 79.7% were eligible for free or reduced-price lunch. Almost half of the children were reported to have clinically concerning scores on the BASC-3 Parent Rating Scale (44.7%) and the BRIEF2 Screening Parent Form (46.7%). Across most age and sex groupings, the reported adaptive skills were relatively low and behaviour symptoms relatively high. Conclusions:Results reveal a substantial burden of parent-reported behavioural problems in Flint Registry children. This is clinically significant and indicates that a large number of children may require comprehensive neuropsychological evaluation and potential medical and/or educational services. Recognising the potential for longterm manifestations of childhood exposures to environmental hazards, longitudinal surveillance is critical to continue to identify and support participants.

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Associations of Family Functioning and Social Support With Psychopathology in Children of Mentally Ill Parents: Multilevel Analyses From Different Rating Perspectives

Cited by 11 publications

References 66 publications

Perceived Support and Sense of Social Belonging in Young Adults Who Have a Parent With a Mental Illness

Perceived Support and Sense of Social Belonging in Young Adults Who Have a Parent With a Mental Illness

Associations of Symptom Severity of Mentally Ill Parents on Family Functioning and Children’s Mental Health

Parent report of child behaviour: Findings from the Flint Registry cohort

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